摘要
目的探讨眼科显微内镜在人工晶状体眼视网膜脱离玻璃体视网膜手术中的应用。方法对32例(32眼)人工晶状体术后视网膜脱离在眼科显微内镜下行玻璃体视网膜手术,观察视网膜解剖复位率、裂孔检出、视力、并发症。平均随诊时间14.6月。结果首次玻璃体切除术后视网膜复位29眼(90.63%),最终视网膜完全复位30眼(93.75%);术后6个月时矫正视力0.1以上者21眼,0.5以上者4眼。术前6眼未发现裂孔者术中内镜下全部找到裂孔,裂孔检出26眼中,术中发现新裂孔6眼,手术后10眼一时性高眼压,2眼人工晶状体移位。结论眼科内镜在人工晶状体眼视网膜脱离玻璃体视网膜手术中的应用,降低了裂孔的遗漏,使视网膜解剖复位率显著提高。
Objective To evaluate the application of endoscope in vitrectomy for tretment of pseudophakic retinal detachment. Methods Vitrectomy with microendoseopy were undergone in 32cases（32eyes） in pseudophakic retinal detachment. The rate of retinal reattachment,new retinal hole, visual acuity and complication were analyzed. The follow-up time was 6 ～ 62.8 months. Results Retinal reattchment was achieved in 29 eyes （90.7%） after ini- tial analyzed. Finally retina was total reattachment in 30 eyes （93.7%） ; Six months after operation, the corrected visual acuity was： 〉0.5 in 4 eyes,0.3～0.5 in 5 eyes,0.1～0.2 in 12 eyes,0. 02 ～ 0.05 in 9 eyes,light sensation to counting fingers in 2 eyes ;During operation,retinal hole were identified in 6 eyes who were never disco vered retinal hole before operation and new retinal holes were found in 6 eyes of 26 eyes ,which the rate of new retinal holeswas 20%. The IOP in 10 eyes were high after operation,among which 9 eyes kept norreal by using anti-glaucoma medicine within 2 ～33 weeks, Intraocular lens dislocation were found in 2 eyes. Conclusions Vitrectomy with microendoscopy not only can find new retinal hole,but also can avoid anterrior proliferative vitreoretinopathy by fully cutting peripheral vitreous, which can increase the rate of retinal reattachment.
出处
《眼外伤职业眼病杂志》
北大核心
2007年第9期686-687,共2页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
